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Survey about bunny, romance, personal ads, roller-skating, apples and twins.

Begin Survey

1. Do you have any tattoos? Yes No

2. Have you ever placed a personals ad? Yes No

3. Do you have any piercings? Yes No

4. Do you take a daily multi-vitamin? Yes No

5. Do you own a pair of fuzzy bunny slippers? Yes No

6. Do you enjoy roller coasters? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Have you ever been rock or mountain climbing? Yes No

9. Do you have an annual check-up or exam with your family doctor? Yes No

10. Do you have any pets? Yes No

11. Do you eat lunch every day? Yes No

12. Do you give your children a daily multi-vitamin? Yes No

13. Will you attend a professional sporting event this month? Yes No

14. Will you buy a lottery ticket this week? Yes No

15. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Ralph Lauren's original name is Ralph Lifshitz. - Apples are a member of the rose family. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - The Golden Gate Bridge was first opened in 1937.

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